| Blaylock Rehabilitation, Llc | |
|
7248 Parkland Bnd, Fairburn, GA 30213-5435 | |
| (470) 241-4010 | |
| Not Available |
| Full Name | Blaylock Rehabilitation, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7248 Parkland Bnd, Fairburn, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013414937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT009057 (Georgia) | Primary |
| Provider Name | Akilah S. Blaylock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326244856 PECOS PAC ID: 2163677238 Enrollment ID: I20180705002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Blaylock Rehabilitation, Llc Po Box 982, Fairburn, GA 30213-0982 Ph: (470) 241-4010 | Blaylock Rehabilitation, Llc 7248 Parkland Bnd, Fairburn, GA 30213-5435 Ph: (470) 241-4010 |
Lorielle Sherie Carter, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5370 Campbellton Fairburn Rd Ste 530, Fairburn, GA 30213 Phone: 678-666-4146 Fax: 678-666-4148 | |
Dr. Mario Donnell Anderson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5370 Campbellton Fairburn Rd, Suite 530, Fairburn, GA 30213 Phone: 678-666-4146 Fax: 678-666-4148 | |
Michael Dennison, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5370 Campbellton Fairburn Rd, Fairburn, GA 30213 Phone: 678-666-4146 | |
John Michael Funnell, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5370 Campbellton Fairburn Rd Ste 530, Fairburn, GA 30213 Phone: 678-666-4146 Fax: 678-666-4148 | |
Mrs. Apollone Simone Reid, P.T., MPH Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 718 Small Elk Ct, Fairburn, GA 30213 Phone: 404-518-8206 Fax: 404-292-4452 | |
Mylah Delaine Garlington, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5370 Campbellton Fairburn Rd Ste 530, Fairburn, GA 30213 Phone: 678-666-4146 Fax: 678-666-4148 |